| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.87 | $4,396.00 | $10,300.00 | |
Aetna
| Professional | $155.84 | $160.41 | $171.87 | |
Anthem BCBS
| Professional | $184.10 | $184.10 | $184.10 | |
Hometown Health
| Professional | $200.00 | $401.29 | $425.00 | |
Hometown Health
| Facility | $364.81 | $1,837.51 | $1,837.51 |